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Surgery of neo-aortic pseudoaneurysm with trans-sternal penetration in a HLHS patient 为一名 HLHS 患者实施经胸腔穿刺的新主动脉假动脉瘤手术
The Thoracic and Cardiovascular Surgeon Reports Pub Date : 2024-05-14 DOI: 10.1055/a-2325-9367
A. Peivandi, Sven Martens, R. Weber, A. Rukosujew
{"title":"Surgery of neo-aortic pseudoaneurysm with trans-sternal penetration in a HLHS patient","authors":"A. Peivandi, Sven Martens, R. Weber, A. Rukosujew","doi":"10.1055/a-2325-9367","DOIUrl":"https://doi.org/10.1055/a-2325-9367","url":null,"abstract":"Neo-aortic pseudo aneurysm after previous surgery is rare and life-threatening. We present a case of a 6th re-do surgery in a 23-year-old male patient with a history of hypoplastic left heart syndrome presenting with trans-sternal penetration of aortic pseudoaneurysm. The previously implanted dacron prosthesis showed semi-circular dehiscence. It was exchanged by a Vascutek prosthesis during circulatory arrest and selective antegrade cerebral perfusion.\u0000Control imaging at 1 year after surgery was unobtrusive. 3 years after surgery, the patient is alive and doing well.\u0000","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"20 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140981562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cardiac Hemangioma in the Left Ventricular Septum 左室间隔心脏血管瘤
The Thoracic and Cardiovascular Surgeon Reports Pub Date : 2024-01-01 DOI: 10.1055/s-0044-1778719
Lilly Ilcheva, Magdalena Cholubek, Dominik Loiero, Omer Dzemali
{"title":"Cardiac Hemangioma in the Left Ventricular Septum","authors":"Lilly Ilcheva, Magdalena Cholubek, Dominik Loiero, Omer Dzemali","doi":"10.1055/s-0044-1778719","DOIUrl":"https://doi.org/10.1055/s-0044-1778719","url":null,"abstract":"Background  Primary cardiac tumors are an exceedingly rare benign group of tumors that may remain asymptomatic for a prolonged duration or could lead to significant clinical events. Case Presentation  A 64-year-old female patient underwent echocardiography prior to elective knee surgery due to the presence of palpitations and dyspnea. This revealed the existence of a mass located on the left side of the interventricular septum, which was resected successfully. Conclusion  Surgical resection represents the primary therapeutic approach for the management of cardiac hemangiomas. Failure to perform timely resection may elevate the risk of developing total atrioventricular block and experiencing sudden death.","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"10 6","pages":"e4 - e7"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139539091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Idiopathic Aneurysm of the Aortic Arch in an Infant. 婴儿主动脉弓的特发性动脉瘤。
IF 0.3
The Thoracic and Cardiovascular Surgeon Reports Pub Date : 2022-09-19 eCollection Date: 2022-01-01 DOI: 10.1055/s-0042-1750426
Tomislav Cvitkovic, Elena Petena, Samir Sarikouch, Lavinia Neubert, Philipp Beerbaum, Alexander Horke, Dmitry Bobylev
{"title":"Idiopathic Aneurysm of the Aortic Arch in an Infant.","authors":"Tomislav Cvitkovic,&nbsp;Elena Petena,&nbsp;Samir Sarikouch,&nbsp;Lavinia Neubert,&nbsp;Philipp Beerbaum,&nbsp;Alexander Horke,&nbsp;Dmitry Bobylev","doi":"10.1055/s-0042-1750426","DOIUrl":"https://doi.org/10.1055/s-0042-1750426","url":null,"abstract":"<p><p>Congenital aortic aneurysms are rare disorders, usually associated with genetic aortic syndromes. Here, we describe the case of an idiopathic aortic arch aneurysm which had been diagnosed prenatally by fetal echocardiography. The diagnosis was confirmed after birth in the neonatal period and successful surgical resection of the aneurysm was performed at the age of 3 months. The idiopathic etiology of the aneurysm, its localization, and the early surgical resection render this case very unusual.</p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"11 1","pages":"e54-e57"},"PeriodicalIF":0.3,"publicationDate":"2022-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9484867/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33468976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dysphonia as a Presenting Symptom of a Giant Left Atrial Sarcoma Developing within Five Years. 发音障碍是5年内发展的巨大左心房肉瘤的主要症状。
IF 0.3
The Thoracic and Cardiovascular Surgeon Reports Pub Date : 2022-08-24 eCollection Date: 2022-01-01 DOI: 10.1055/s-0042-1751028
Mohamed Elbayomi, Ehab Nooh, Michael Weyand, Abbas Agaimy, Frank Harig
{"title":"Dysphonia as a Presenting Symptom of a Giant Left Atrial Sarcoma Developing within Five Years.","authors":"Mohamed Elbayomi,&nbsp;Ehab Nooh,&nbsp;Michael Weyand,&nbsp;Abbas Agaimy,&nbsp;Frank Harig","doi":"10.1055/s-0042-1751028","DOIUrl":"https://doi.org/10.1055/s-0042-1751028","url":null,"abstract":"<p><p>An 83-year-old woman presented with a new onset of dyspnea and dysphonia. Physical examination revealed no abnormalities. Computerized tomography, bidimensional echocardiography, and cardiac magnetic resonance confirmed the presence of a cardiac mass in the left atrium. Surgical resection was uneventful and showed the origin of the mass in the ostium of the left inferior pulmonary vein. Histological evaluation revealed undifferentiated pleomorphic sarcoma with myxoid features. This case highlights the importance of considering cardiac neoplasms as a rare differential diagnosis, including rare and misleading clinical presentations.</p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"11 1","pages":"e50-e53"},"PeriodicalIF":0.3,"publicationDate":"2022-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9402287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33442801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Triple-Arterial Cannulation Approach for Whole-Body Perfusion in Infant Hypoplastic Aortic Arch and Coarctation Repair. 婴儿主动脉弓发育不全全身灌注的三动脉插管方法及缩窄修复。
IF 0.3
The Thoracic and Cardiovascular Surgeon Reports Pub Date : 2022-08-24 eCollection Date: 2022-01-01 DOI: 10.1055/s-0042-1750428
Markus Liebrich, Marco Schweder, Joerg Seeburger, Vladimir Voth
{"title":"Triple-Arterial Cannulation Approach for Whole-Body Perfusion in Infant Hypoplastic Aortic Arch and Coarctation Repair.","authors":"Markus Liebrich,&nbsp;Marco Schweder,&nbsp;Joerg Seeburger,&nbsp;Vladimir Voth","doi":"10.1055/s-0042-1750428","DOIUrl":"https://doi.org/10.1055/s-0042-1750428","url":null,"abstract":"<p><p>Organ and end-organ protection in aortic arch surgery represents a substantial challenge, especially in infants. Selective antegrade cerebral perfusion has been reported to improve organ function during this procedure. Visceral perfusion can be optimized by cannulation of the descending aorta during infant aortic arch surgery, leading to a decrease in end organ damage. However, it is associated with extensive surgical manipulation and subsequent risk of major vessel and potential organ damage. In this report, we describe a technique for distal body perfusion in an infant with hypoplastic aortic arch and isthmus stenosis by ultrasound-guided cannulation of the femoral artery using an intra-arterial vascular sheath establishing whole-body perfusion by triple cannulation.</p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"11 1","pages":"e47-e49"},"PeriodicalIF":0.3,"publicationDate":"2022-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9402288/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33442800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bilateral Internal Thoracic Artery Minimally Invasive CABG Management in COPD. 双侧胸内动脉微创冠脉搭桥治疗COPD。
IF 0.3
The Thoracic and Cardiovascular Surgeon Reports Pub Date : 2022-02-02 eCollection Date: 2022-01-01 DOI: 10.1055/s-0041-1739186
Anna Kathrin Assmann, Artur Lichtenberg, Alexander Assmann
{"title":"Bilateral Internal Thoracic Artery Minimally Invasive CABG Management in COPD.","authors":"Anna Kathrin Assmann,&nbsp;Artur Lichtenberg,&nbsp;Alexander Assmann","doi":"10.1055/s-0041-1739186","DOIUrl":"https://doi.org/10.1055/s-0041-1739186","url":null,"abstract":"<p><p><b>Background</b>  Off-pump multi-arterial minimally invasive coronary surgery via anterolateral mini-thoracotomy has become a feasible and safe procedure. <b>Case Description</b>  We report on a 61-year-old patient with a coronary one-vessel disease with severely stenotic left anterior descending artery and diagonal branch, additionally suffering from chronic obstructive pulmonary disease with severely impaired lung function. Using a fan technique allowing for double lung ventilation, the patient was successfully operated grafting both internal thoracic arteries via a left anterolateral mini-thoracotomy. <b>Conclusion</b>  Anaortic, minimally invasive off-pump coronary artery bypass grafting is an excellent technique to achieve myocardial revascularization with both internal thoracic arteries even in patients with impaired lung function.</p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"11 1","pages":"e14-e16"},"PeriodicalIF":0.3,"publicationDate":"2022-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8810270/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39894487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Left Ventricular Assist Device Implantation in a Patient with Ventricular Pseudoaneurysm. 左室假性动脉瘤患者的左室辅助装置植入。
IF 0.3
The Thoracic and Cardiovascular Surgeon Reports Pub Date : 2022-02-01 eCollection Date: 2022-01-01 DOI: 10.1055/s-0041-1741554
Dejan Radakovic, Kiril Penov, Gülmisal Güder, Ivan Aleksic
{"title":"Left Ventricular Assist Device Implantation in a Patient with Ventricular Pseudoaneurysm.","authors":"Dejan Radakovic,&nbsp;Kiril Penov,&nbsp;Gülmisal Güder,&nbsp;Ivan Aleksic","doi":"10.1055/s-0041-1741554","DOIUrl":"https://doi.org/10.1055/s-0041-1741554","url":null,"abstract":"<p><p><b>Background</b>  Left ventricular assist device (LVAD) implantation after contained LV rupture (pseudoaneurysm) represents a difficult surgical problem. <b>Case Description</b>  We describe the surgical approach for such a patient. The sewing ring was implanted utilizing a Dacron patch for reconstruction of the free wall, fibrotic LV wall remnants, and a Teflon strip giving additional support for cannula position and hemostasis. The patient had an uneventful recovery and is well 19 months after the procedure. <b>Conclusion</b>  LV pseudoaneurysm is not a contraindication for permanent LVAD implantation.</p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"11 1","pages":"e11-e13"},"PeriodicalIF":0.3,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8807110/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39894486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Retrieval of a Dislocated Stent Using a Grasping Forceps and a Steerable Sheath in a Fontan Patient. 在Fontan患者中使用抓钳和可操纵护套回收脱位支架。
IF 0.3
The Thoracic and Cardiovascular Surgeon Reports Pub Date : 2022-01-17 eCollection Date: 2022-01-01 DOI: 10.1055/s-0041-1736207
Torben Kehl, Götz Müller, Carsten Rickers, Rainer Kozlik-Feldmann
{"title":"Retrieval of a Dislocated Stent Using a Grasping Forceps and a Steerable Sheath in a Fontan Patient.","authors":"Torben Kehl,&nbsp;Götz Müller,&nbsp;Carsten Rickers,&nbsp;Rainer Kozlik-Feldmann","doi":"10.1055/s-0041-1736207","DOIUrl":"https://doi.org/10.1055/s-0041-1736207","url":null,"abstract":"<p><p>In Fontan patients, any pulmonary stenosis may impede free passive inflow into the pulmonary circuit and elevate central venous pressure. When stenting such pulmonary stenosis, dislocation of a stent is a feared complication. Here, we report on a successful retrieval of a dislocated Cook Formula stent into the peripheral left pulmonary artery in a Fontan patient with protein-losing enteropathy using a steerable sheath and a grasping forceps. Furthermore, a successful stent implantation for treating the stenosis was possible. Subsequently, we simulated the retraction technique ex vivo. To manage stent dislocation during complex pediatric catheter interventions, we can recommend the use of a steerable sheath guiding a grasping forceps. A dislocated stent can be grasped, completely longitudinally refolded, and safely retrieved.</p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"11 1","pages":"e4-e6"},"PeriodicalIF":0.3,"publicationDate":"2022-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8763580/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39957971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Recurrent Cardiac Constriction after Implantation of an Expanded Polytetrafluoroethylene Surgical Membrane. 膨胀聚四氟乙烯手术膜植入后复发性心脏收缩。
IF 0.3
The Thoracic and Cardiovascular Surgeon Reports Pub Date : 2022-01-17 eCollection Date: 2022-01-01 DOI: 10.1055/s-0041-1736456
Paul-Cătălin Puiu, Matthias Siepe, Wolfgang Zeh, Emmanuel Zimmer
{"title":"Recurrent Cardiac Constriction after Implantation of an Expanded Polytetrafluoroethylene Surgical Membrane.","authors":"Paul-Cătălin Puiu,&nbsp;Matthias Siepe,&nbsp;Wolfgang Zeh,&nbsp;Emmanuel Zimmer","doi":"10.1055/s-0041-1736456","DOIUrl":"https://doi.org/10.1055/s-0041-1736456","url":null,"abstract":"<p><p>One of the challenges compounding the complexity of reoperative cardiac surgery is the surgical adhesion, which can be responsible for adverse intraoperative events. Implantation of a substitute neo-pericardium has become a frequently used solution, with currently rising numbers of reoperations. We report the case of a 38-year-old man who developed recurrent delayed cardiac constriction following the implantation of an expanded polytetrafluoroethylene neo-pericardium. Careful preoperative planning is recommended to plan the optimal method of pericardioplasty, taking into account the pros and cons of each available material.</p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"11 1","pages":"e1-e3"},"PeriodicalIF":0.3,"publicationDate":"2022-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8763575/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39957970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Life-Threatening Mediastinal Teratoma of Infant Requiring Emergency Surgical Removal. 危及生命的婴儿纵隔畸胎瘤需要紧急手术切除。
IF 0.3
The Thoracic and Cardiovascular Surgeon Reports Pub Date : 2022-01-13 eCollection Date: 2022-01-01 DOI: 10.1055/s-0041-1726350
Nicole Piber, Wilko Weichert, Jürgen Hörer, Masamichi Ono
{"title":"Life-Threatening Mediastinal Teratoma of Infant Requiring Emergency Surgical Removal.","authors":"Nicole Piber,&nbsp;Wilko Weichert,&nbsp;Jürgen Hörer,&nbsp;Masamichi Ono","doi":"10.1055/s-0041-1726350","DOIUrl":"https://doi.org/10.1055/s-0041-1726350","url":null,"abstract":"<p><p><b>Background</b>  Teratoma is a tumor derived from fetal germ cells with aberrant differentiation. <b>Case Description</b>  A 3-month-old infant with a mediastinal tumor was referred to our heart center. She presented with progressive dyspnea, cyanosis, and the need to be manually ventilated. The computed tomography scan displayed a huge tumor restricting the distal trachea including the bifurcation. An emergent operation was performed and the tumor was completely removed. Histological examination confirmed a mature teratoma. <b>Conclusion</b>  In such life-threatening situation, the early detection and the immediate operation are very important for the management of rapidly-progressing mediastinal teratomas compressing the respiratory tract.</p>","PeriodicalId":514727,"journal":{"name":"The Thoracic and Cardiovascular Surgeon Reports","volume":"11 1","pages":"e7-e10"},"PeriodicalIF":0.3,"publicationDate":"2022-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8758248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39687671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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